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When COVID-19 restrictions lifted in the United Kingdom, the risk for severe asthma attacks doubled. While having COVID isn’t more likely to cause asthma attacks than other respiratory infections, it may have been that safety measures, such as wearing masks and reduced socializing, kept these attacks at bay, the authors of a new study suggested. “Our study was observational, so it can’t prove cause-and-effect. But our findings do raise the possibility that certain elements of the public health measures introduced during the pandemic — such as wearing face masks — could help in reducing respiratory illnesses moving forward,” study lead author Adrian Martineau said in a news release from Queen Mary University of London. He is a clinical professor of respiratory infection and immunity at the university. The researchers studied the data from more than 2,300 adults with asthma who participated in the university’s COVIDENCE UK study between November 2020 and April 2022. The participants answered a monthly online questionnaire that asked about face covering use, social mixing and asthma symptoms. COVID restrictions were imposed in the spring of 2020. In April 2021, social mixing restrictions and the need for face coverings started relaxing in the U.K. When restrictions were lifted, fewer people wore face coverings. They were more likely to mix socially. The study found that people subsequently had a higher risk of COVID…  read on >  read on >

Transgender youth are more likely than others to experience sleep disorders such as insomnia and sleep apnea, and researchers now recommend these young people be screened for sleep problems. “Transgender and gender-nonconforming identity may precede mental health disorders, and both influence insomnia diagnosis,” said study co-author Galit Levi Dunietz, an epidemiologist in the University of Michigan neurology department’s division of sleep medicine. For the study, the researchers analyzed claims data from more than 1.2 million people aged 12 to 25. Among them were just over 2,600 young people who identified as transgender or gender-nonconforming. The investigators found that transgender youth were 5.4 times more likely than cisgender youth to have insomnia. They were also three times more likely to have sleep apnea or other sleep disorders. (Cisgender means they identify with the gender assigned at birth). The results show a concerning number of individuals with disorders that harm sleep quality, said co-author Dr. Ronald Gavidia, a sleep medicine physician at the university. Other research has suggested that transgender youth and adults also have a high prevalence of depression and anxiety symptoms. These are known to affect sleep quality and health, and they may be contributing to insomnia in this group, the study authors noted. “Given this higher prevalence of sleep disorders in relation to cisgender youth, clinicians should consider screening and testing this population for…  read on >  read on >

Many women experience back pain during pregnancy and a new study review suggests an ancient treatment can help. Acupuncture provided significant relief of lower back and pelvic pain, according to an analysis of 10 trials from various parts of the world. The findings were published Nov. 21 in BMJ Open. “Acupuncture significantly improved pain, functional status, and quality of life in women with [lower back/pelvic pain] during the pregnancy,” wrote the researchers, who included Dr. Wei Dong, from the Department of Orthopaedics at the Kunming Municipal Hospital of Traditional Chinese Medicine in China. “Additionally, acupuncture had no observable severe adverse influences on the newborns,” they said in a journal news release. The 10 trials were conducted between 2000 and 2020 in the United States, Sweden, United Kingdom, Spain and Brazil. In all, the trials included 1,040 healthy women. On average, they were in their 17th to 30th week of pregnancy. Each had lower back and/or pelvic pain and were treated by trained acupuncturists, physiotherapists or midwives. Seven of the 10 trials described body acupuncture. The other three described ear lobe acupuncture. The findings varied but trial results for nine studies suggested that acupuncture significantly relieved pain during pregnancy. Four studies reported on the potential of acupuncture to restore physical function, showing significant improvements. In the five studies that recorded impact on quality of life, findings…  read on >  read on >

Shoveling snow is a strenuous workout that poses risks for people with heart conditions. “We have to think of shoveling snow as a pretty significant exertion, like an exercise,” said Dr. Donald Ford, chair of family medicine at the Cleveland Clinic, in Ohio. “So if you’re going out to exercise, people who have heart conditions or people who have risk for heart conditions, may need to talk to their doctor before they engage in that.” That includes folks with risk factors such as high blood pressure, high cholesterol and diabetes, Ford said. The doctor can advise whether shoveling is safe, and if so, how much. If you do get the go-ahead, taking frequent rest breaks is a good idea, Ford said in a clinic news release. Even if you’re in shape, warm up before your first scoop. Stretch out the muscles of the back, arms, shoulders and legs. Do a brief aerobic warmup to get the blood flowing, such as walking in place, hopping up and down, or even spending a few minutes on the treadmill, he suggested. Once you’re outside, lift with your legs — not your back. “Make sure you’re lifting from the center. Keeping your body upright, not reaching over,” Ford said. Using an ergonomic shovel, which has a longer, bent handle, will help prevent back pain, he noted. It enables a…  read on >  read on >

Stress affects gut health and intensifies pain, which — for people with irritable bowel syndrome (IBS) — can make traveling to see family during the holiday season excruciating. “People living with IBS often say the holidays are especially stressful, above and beyond the typical holiday stress most people report having,” said Tiffany Taft, medical social scientist and clinical psychologist at Northwestern Medicine, in Chicago. For the 15% of Americans who live with IBS, Taft offered some tips as they gather for the season. “Stress directly affects IBS through the gut-brain axis, which includes parts of the brain that are part of the body’s fight-flight-freeze response,” she said. “Stress can amplify pain, alter the motility of the gut — either speed up or slow down, depending on the person — and change the composition of the gut microbiome.” That can make symptoms more severe. For some, that may mean more frequent trips to the bathroom. For others, it may mean fewer than usual. Symptoms can include increased stomach pain and cramping, bloating and increased urgency to go to the bathroom. Taft said the holidays can create stress because some people have family members who aren’t understanding or supportive about IBS. They may worry or be anxious about asking for changes to the holiday menu because of dietary needs. Rather than have an unpleasant conversation, the person…  read on >  read on >

People with one form of the genetic blood disorder hemophilia now have a one-time treatment with a $3.5 million price tag. The U.S. Food and Drug Administration approved the new gene therapy Hemgenix on Nov. 22. Soon after, drugmaker CSL Behring revealed its cost. The company said its drug would ultimately reduce health care costs because patients with the genetic disorder would need fewer treatments for bleeding, the Associated Press reported. As with most approved drugs, private or government insurance — not patients — is expected to foot the bill. Hemgenix is designed for adults with hemophilia B, the less common form of the disease. Currently, patients receive costly IV infusions to promote clotting and prevent bleeding. The treatment is also for people who have repeated, serious spontaneous bleeding episodes. “Gene therapy for hemophilia has been on the horizon for more than two decades. Despite advancements in the treatment of hemophilia, the prevention and treatment of bleeding episodes can adversely impact individuals’ quality of life,” said Dr. Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research. “[This] approval provides a new treatment option for patients with hemophilia B and represents important progress in the development of innovative therapies for those experiencing a high burden of disease associated with this form of hemophilia,” Marks said in an FDA news release. In hemophilia B,…  read on >  read on >

Millions of Americans will enjoy a hot, nutritious Thanksgiving meal thanks to their local food pantry, often staffed by volunteers. Now, new research spotlights just how important these charities are. Families who rely on pantries for food assistance come away with $600 to $1,000 in free meals and produce every year, after taking into account time, transportation and other costs associated with using them, researchers say. Nationwide, that adds up to big numbers, a new study shows, with pantries collectively providing Americans between $19 billion and $28 billion in free food every year. “The most recent Household Food Security in the United States report … estimates that 5.6% of U.S. households use food pantries, which are the main distribution vehicle for food banks,” said study author Anne Byrne, a Washington, D.C.-based research agricultural economist for the U.S. Department of Agriculture. As a doctoral student at Cornell University in Ithaca, N.Y., Byrne worked with economics professor David Just to determine the net value received by folks seeking food pantry assistance. “We know people receive the food for a retail cost of $0,” Byrne noted. “But by using travel costs — (such as) time, gas, etc. — we were able to estimate what people give up in order to get food from pantries.” On average, their research revealed, every time someone visits a pantry, he or she…  read on >  read on >

The kids aren’t alright. Up to 1 in 5 children in the United States has a mental health condition, but only about half of those who need mental health care are now receiving it. What’s more, suicide is the second leading cause of death among U.S. kids and teens, and youth suicide rates have been rising over the last decade. Now, about one year after the U.S. Surgeon General cited an urgent need to address the crisis, new research shows that the young people who are most likely to die by suicide live in areas with pronounced shortages of mental health professionals. These professionals are also feeling the strain as their workloads and waitlists grow exponentially, according to the American Psychological Association’s 2022 COVID-19 Practitioner Impact Survey. “This is a national emergency, and swift action is needed to improve youth mental health,” said study author Dr. Jennifer Hoffmann, an attending physician in the Division of Emergency Medicine at Ann & Robert H. Lurie Children’s Hospital of Chicago. For the study, she and her colleagues analyzed more than 5,000 suicides by 5- to 19-year-olds that occurred from 2015 to 2016. The rate of suicide increased as the availability of mental health professionals decreased, and this also held for youth suicide by firearms. The greater the professional shortage, the higher the risk for suicide in that area,…  read on >  read on >

That new television, cabinet or appliance you’re looking to snag on Black Friday or Cyber Monday could bring unexpected dangers to your home. So don’t forget to buy a kit to anchor it to the wall and keep it from tipping over and harming young kids, the Consumer Product Safety Commission (CPSC) urges. “With the holiday shopping season upon us, it is critical to anchor your new TV or furniture to the wall to help prevent tip-over incidents,” said CPSC Chair Alex Hoehn-Saric. “Even if a TV or piece of furniture comes without an anti-tip-over kit, you can order them online or purchase them at your local hardware store for $20 or less,” he noted in a commission news release. Since 2000, 581 deaths caused by furniture, TV or appliance tip-overs have happened in the United States. Of those, 472 involved children. Just last month, the CPSC approved a mandatory safety standard for dressers, chests and other clothing storage units. This ensures they meet new minimum stability requirements designed to prevent furniture from tipping over. Until more stable furniture makes its way into the marketplace, the CPSC said consumers should anchor their furniture. You can repair a wall after removing a furniture anchor if you redecorate or move, the commission noted. If anchoring is not an option, it recommended placing TVs on a sturdy, low…  read on >  read on >

Holiday meals offer an opportunity to indulge in some favorite foods. Now for those who want to enjoy healthier versions of these holiday treats, a registered dietitian from Baylor College of Medicine in Houston offers some easy suggestions. Veggies can help with the post-meal fatigue you usually feel after a big meal, said Courtney Cary, who works in the Department of Medicine–Gastroenterology and Hepatology. Fiber from veggies can help, even when those veggies are creamed or part of a casserole. Instead of using heavy cream in green bean casserole or creamed spinach, use fat-free half and half. You’ll still get a creamy flavor, but with little saturated fat. Replace the solid fat in a recipe with butter or oil to make more heart-healthy dishes, Cary suggests. Use low-fat or part-skim cheese to decrease the saturated fat further. Get creamy mashed potatoes by using butter and skim milk instead of butter and heavy cream. “Eating decadent and rich food one day out of the year won’t kill you, but that high concentration of saturated fat over multiple days from leftovers can have an impact,” Cary said in a Baylor news release. Nuts can help offset some of the blood sugar changes from starchy and sugary foods. The high fructose corn syrup in canned cranberry sauce is detrimental to blood sugar. Even adding a whole cup of…  read on >  read on >